Individual
NICOLE MAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 N SAM HOUSTON PKWY E STE 247, HOUSTON, TX 77060-3325
(713) 594-0469
(713) 583-0900
Mailing address
18318 ENCHANTED ROCK TRL, HUMBLE, TX 77346-3409
(713) 594-0469
(713) 594-0469
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/15/2013
Last updated
01/06/2021
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